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hypervolemia a patient was admitted in the medical ward with chief complaints of shortness of breath....

hypervolemia

a patient was admitted in the medical ward with chief complaints of shortness of breath. Further assessment reveals the following findings

bp 140/90

hr 111bpm

rr 24cpm

plus bipedal edema

bibasilar crackles upon auscultation

the doctor initially ordered furosemide 20mg ampule tiv every 8 hours and the following laboratory test,complete blood count,serum,sodium,serum potassium,blood urea nitrogen

write down 3 priority nursing diagnosis for the patient and create a hypothetical fdar.

what laboratory test may give the hint to the doctor about the oncotic pressure of the patient

Solutions

Expert Solution

According to NANDA( North American Nursing Diagnosis Association)

  1. Excess fluid volume related to (compromised regulatory mechanisms/ excess fluid or sodium intake)
  2. Fluid and electrolyte imbalances related to excessive fluids
  3. Ineffective breathing pattern related to pulmonary congestion (accumulation of fluid in alveoli)

Labortary investigation

Increase in serum sodium, blood urea and nitrogen can be present in increased oncotic pressure.

Flow diagram

Nightingale answered 2 years ago
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